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No. 3880558
Volxxxix Pg126
Name DICROSTA, John Declxx1V pgiel
residing at 51 Ridge street, Waterbury, Connecticut
Age 41
years. Date of order of admission January 16, 1935
Date certificate issued January 16,1935
by the
Common Pleas Court at Wa terbury, Connecticut
Petition No. 7234
John (Complete Di and true signature Chrosta of holder)
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